<fieldset class="layui-elem-field">
    <legend>健康体检</legend>
    <div class="layui-row">
        <div class="layui-form-item">
            <div class="layui-inline">
                <label class="layui-form-label">保险公司<span style="color: red">*</span></label>
                <div class="layui-input-inline">
                    <layui:simpleDictSelect style='layui-input-inline' type="safeCompanyType" readonly="true"
                                            id="safeCompany" name="safeCompany"
                                            layVerify="required" value="${insurance.safeCompany}"/>
                </div>
            </div>
            <div class="layui-inline">
                <label class="layui-form-label">保险类别<span style="color: red">*</span></label>
                <div class="layui-input-inline">
                    <input type="text" id="insuranceCategory" name="insuranceCategory" value="${insurance.insuranceCategory}" readonly="true" lay-verify="required" class="layui-input input-readonly">
                </div>
            </div>
        </div>
    </div>
    <div class="layui-row">
        <div class="layui-form-item">
            <div class="layui-inline">
                <label class="layui-form-label">保险开始时间<span style="color: red">*</span></label>
                <div class="layui-input-inline">
                    <input type="text" id="insuranceStartTime" name="insuranceStartTime" value="${insurance.insuranceStartTime," yyyy-MM-dd"}" class="layui-input  input-readonly" readonly="true">
                </div>
            </div>
            <div class="layui-inline">
                <label class="layui-form-label">保险结束时间<span style="color: red">*</span></label>
                <div class="layui-input-inline">
                    <input type="text" id="insuranceEndTime" name="insuranceEndTime" value="${insurance.insuranceEndTime," yyyy-MM-dd"}" class="layui-input input-readonly" readonly="true">
                </div>
            </div>
        </div>
    </div>
    <div class="layui-row">
        <div class="layui-form-item">
            <div class="layui-inline">
                <label class="layui-form-label">特殊情况说明(最多100汉字)</label>
                <div class="layui-input-inline">
                    <textarea id="specialInstructions" name="specialInstructions" readonly="true"  class="layui-textarea input-readonly" style="width: 740px"
                              maxlength="200">${insurance.specialInstructions}</textarea>
                </div>
            </div>
        </div>
    </div>
</fieldset>
<fieldset class="layui-elem-field">
    <legend>材料信息</legend><!--# if(!has(look)){  --><input type="checkbox" class="validCheckBox" title="检查"><!--# } -->
    <span style="color: red;margin-left: 30px;font-size: 18px">支持文件格式为：pdf,jpg,png,gif，单个文件大小不超过20M。带*号标识的对应资料必须上传，其它资料不作要求。上传文件内容请确保真实清晰、有效，不能有旋转。上传后请查看预览，正确无误后再申报提交。</span>
    <div class="layui-row">
        <label class="layui-form-label file-upload">身份证件</label>
        <layui:attachment name="Idfile" batchFileUUID="${insurance.Idfile}" isNew="false" bizType="User" readonly="true"/>
    </div>
    <div class="layui-row">
        <label class="layui-form-label file-upload">结婚证件</label>
        <layui:attachment name="insuranceCompanyFile" batchFileUUID="${insurance.insuranceCompanyFile}" isNew="false" bizType="User" readonly="true"/>
    </div>
</fieldset>
<input type="hidden" name="roleName" value=${insurance.roleName}>
<input type="hidden" name="userId" value="${insurance.userId}">
<input type="hidden" name="companyId" value="${insurance.companyId}">
<!-- 业务对象须有hidden字段，保存delFlag和version字段-->
<input type="hidden" name="delFlag" value=${insurance.delFlag}>
<input type="hidden" name="id" value=${insurance.id}>